VitalApp/assets/templates/GXY.json

{
  "Key": "GXY",
  "Name": "高血压",
  "Content": [
    {
      "label": "症状",
      "defaultValue": null,
      "span": 24,
      "key": "symptom",
      "type": "title",
      "border": null,
      "disabledValue": null,
      "options": [],
      "children": [
        {
          "label": "症状",
          "defaultValue": [],
          "span": 24,
          "key": "Symptom",
          "type": "checkbox",
          "border": false,
          "disabledValue": "1",
          "options": [
            {
              "label": "无症状",
              "value": "1"
            },
            {
              "label": "头痛头晕",
              "value": "2"
            },
            {
              "label": "恶心呕吐",
              "value": "3"
            },
            {
              "label": "眼花耳鸣",
              "value": "4"
            },
            {
              "label": "呼吸困难",
              "value": "5"
            },
            {
              "label": "心悸胸闷",
              "value": "6"
            },
            {
              "label": "鼻衄出血不止",
              "value": "7"
            },
            {
              "label": "四肢发麻",
              "value": "8"
            },
            {
              "label": "下肢水肿",
              "value": "9"
            },
            {
              "label": "其他",
              "value": "10"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": true,
          "show-limit": null,
          "parentKey": "symptom",
          "buttonName": null,
          "childrenKey": null
        }
      ],
      "append": null,
      "placeholder": null,
      "required": null,
      "show-limit": null,
      "parentKey": null,
      "buttonName": null,
      "childrenKey": null
    },
    {
      "label": "体征",
      "defaultValue": null,
      "span": 24,
      "key": "sign",
      "type": "title",
      "border": null,
      "disabledValue": null,
      "options": [],
      "children": [
        {
          "label": "血压",
          "defaultValue": null,
          "span": 24,
          "key": "Blood",
          "type": "bloodPressure",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "mmHg",
          "placeholder": "",
          "required": true,
          "show-limit": false,
          "parentKey": "sign",
          "buttonName": "测量",
          "childrenKey": ["Sbp", "Dbp"]
        },
        {
          "label": "身高",
          "defaultValue": null,
          "span": 12,
          "key": "Height",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "cm",
          "placeholder": "",
          "required": true,
          "show-limit": false,
          "parentKey": "sign",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "心率",
          "defaultValue": null,
          "span": 12,
          "key": "Heart_Rate",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "次/分钟",
          "placeholder": "",
          "required": true,
          "show-limit": false,
          "parentKey": "sign",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "体重",
          "defaultValue": null,
          "span": 12,
          "key": "Weight",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "kg",
          "placeholder": "",
          "required": true,
          "show-limit": false,
          "parentKey": "sign",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "下次随访目标",
          "defaultValue": null,
          "span": 12,
          "key": "Weight_Next",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "kg",
          "placeholder": "",
          "required": null,
          "show-limit": false,
          "parentKey": "sign",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "体质指数",
          "defaultValue": null,
          "span": 12,
          "key": "Bmi",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "kg/㎡",
          "placeholder": "",
          "required": null,
          "show-limit": false,
          "parentKey": "sign",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "下次随访目标",
          "defaultValue": null,
          "span": 12,
          "key": "Bmi_Next",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "kg/㎡",
          "placeholder": "",
          "required": null,
          "show-limit": false,
          "parentKey": "sign",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "其他",
          "defaultValue": null,
          "span": 24,
          "key": "Sign_Other",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "",
          "placeholder": "",
          "required": null,
          "show-limit": false,
          "parentKey": "sign",
          "buttonName": null,
          "childrenKey": null
        }
      ],
      "append": null,
      "placeholder": null,
      "required": null,
      "show-limit": null,
      "parentKey": null,
      "buttonName": null,
      "childrenKey": null
    },
    {
      "label": "生活方式指导",
      "defaultValue": null,
      "span": 24,
      "key": "lifestyleCoachingAndAssistedExamination",
      "type": "title",
      "border": null,
      "disabledValue": null,
      "options": [],
      "children": [
        {
          "label": "日吸烟量",
          "defaultValue": null,
          "span": 12,
          "key": "Smoking_Daily",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "支",
          "placeholder": "",
          "required": true,
          "show-limit": false,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "下次随访目标",
          "defaultValue": null,
          "span": 12,
          "key": "Goal_Smoking",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "支",
          "placeholder": "",
          "required": null,
          "show-limit": false,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "日饮酒量",
          "defaultValue": null,
          "span": 12,
          "key": "Drinking_Daily",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "支",
          "placeholder": "",
          "required": true,
          "show-limit": false,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "下次随访目标",
          "defaultValue": null,
          "span": 12,
          "key": "Goal_Drinking",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "两",
          "placeholder": "",
          "required": null,
          "show-limit": false,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "摄盐情况（咸淡）",
          "defaultValue": [],
          "span": 24,
          "key": "Salt_Intake",
          "type": "radio",
          "border": false,
          "disabledValue": null,
          "options": [
            {
              "label": "轻",
              "value": "1"
            },
            {
              "label": "中",
              "value": "2"
            },
            {
              "label": "重",
              "value": "3"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": true,
          "show-limit": null,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "下次随访目标",
          "defaultValue": [],
          "span": 24,
          "key": "Goal_Salt_Intake",
          "type": "radio",
          "border": false,
          "disabledValue": null,
          "options": [
            {
              "label": "轻",
              "value": "1"
            },
            {
              "label": "中",
              "value": "2"
            },
            {
              "label": "重",
              "value": "3"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": false,
          "show-limit": null,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        }
      ],
      "append": null,
      "placeholder": null,
      "required": null,
      "show-limit": null,
      "parentKey": null,
      "buttonName": null,
      "childrenKey": null
    },
    {
      "label": "辅助检查",
      "defaultValue": null,
      "span": 24,
      "key": "lifestyleCoachingAndAssistedExamination",
      "type": "title",
      "border": null,
      "disabledValue": null,
      "options": [],
      "children": [
        {
          "label": "心理调整",
          "defaultValue": [],
          "span": 24,
          "key": "Psychol_Adjust",
          "type": "radio",
          "border": false,
          "disabledValue": null,
          "options": [
            {
              "label": "良好",
              "value": "1"
            },
            {
              "label": "一般",
              "value": "2"
            },
            {
              "label": "差",
              "value": "3"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": true,
          "show-limit": null,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "遵医行为",
          "defaultValue": [],
          "span": 24,
          "key": "Compliance",
          "type": "radio",
          "border": false,
          "disabledValue": null,
          "options": [
            {
              "label": "良好",
              "value": "1"
            },
            {
              "label": "一般",
              "value": "2"
            },
            {
              "label": "差",
              "value": "3"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": true,
          "show-limit": null,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "辅助检查",
          "defaultValue": null,
          "span": 24,
          "key": "Auxiliary_Other",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "",
          "placeholder": "",
          "required": null,
          "show-limit": false,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "服药依从性",
          "defaultValue": [],
          "span": 24,
          "key": "Compliance_Drug",
          "type": "radio",
          "border": false,
          "disabledValue": null,
          "options": [
            {
              "label": "规律",
              "value": "1"
            },
            {
              "label": "间断",
              "value": "2"
            },
            {
              "label": "不服药",
              "value": "3"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": true,
          "show-limit": null,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "此次随访分类",
          "defaultValue": [],
          "span": 24,
          "key": "Follow_Up_Classify",
          "type": "radio",
          "border": false,
          "disabledValue": null,
          "options": [
            {
              "label": "控制满意",
              "value": "1"
            },
            {
              "label": "控制不满意",
              "value": "2"
            },
            {
              "label": "不良反应",
              "value": "3"
            },
            {
              "label": "并发症",
              "value": "4"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": true,
          "show-limit": null,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "药物不良反应",
          "defaultValue": [],
          "span": 24,
          "key": "Adverse",
          "type": "radio",
          "border": false,
          "disabledValue": null,
          "options": [
            {
              "label": "无",
              "value": "1"
            },
            {
              "label": "有",
              "value": "2"
            }
          ],
          "children": null,
          "append": null,
          "placeholder": null,
          "required": false,
          "show-limit": null,
          "parentKey": "lifestyleCoachingAndAssistedExamination",
          "buttonName": null,
          "childrenKey": null
        }
      ],
      "append": null,
      "placeholder": null,
      "required": null,
      "show-limit": null,
      "parentKey": null,
      "buttonName": null,
      "childrenKey": null
    },
    {
      "label": "用药情况",
      "defaultValue": null,
      "span": 24,
      "key": "medicationSituation",
      "type": "title",
      "border": null,
      "disabledValue": null,
      "options": [],
      "children": [
        {
          "label": "用药情况",
          "defaultValue": null,
          "span": 24,
          "key": "Appraisal",
          "type": "gxyAndTnbMedication",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "",
          "placeholder": "",
          "required": true,
          "show-limit": false,
          "parentKey": "medicationSituation",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "转诊机构及科别：",
          "defaultValue": null,
          "span": 24,
          "key": "Referral_Hospital",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "",
          "placeholder": "",
          "required": null,
          "show-limit": false,
          "parentKey": "medicationSituation",
          "buttonName": null,
          "childrenKey": null
        },
        {
          "label": "转诊原因：",
          "defaultValue": null,
          "span": 24,
          "key": "Referral_Reason",
          "type": "input",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "",
          "placeholder": "",
          "required": null,
          "show-limit": false,
          "parentKey": "Drug_Info",
          "buttonName": null,
          "childrenKey": null
        }
      ],
      "append": null,
      "placeholder": null,
      "required": null,
      "show-limit": null,
      "parentKey": null,
      "buttonName": null,
      "childrenKey": null
    },
    {
      "label": "处方",
      "defaultValue": null,
      "span": 24,
      "key": "Pre",
      "type": "title",
      "border": null,
      "disabledValue": null,
      "options": [],
      "children": [
        {
          "label": "处方",
          "defaultValue": null,
          "span": 24,
          "key": "Prescription",
          "type": "prescriptionType",
          "border": null,
          "disabledValue": null,
          "options": [],
          "children": null,
          "append": "",
          "placeholder": "",
          "required": null,
          "show-limit": false,
          "parentKey": "Pre",
          "buttonName": "HypertensionPrescription",
          "childrenKey": null
        }
      ],
      "append": null,
      "placeholder": null,
      "required": null,
      "show-limit": null,
      "parentKey": null,
      "buttonName": null,
      "childrenKey": null
    }
  ]
}